Assistant Professor, Department of Community Medicine, All India Institute of Medical Sciences, Nagpur, Maharashtra, India.
Department of Community Medicine, Senior Resident, Puducherry, India.
Indian J Public Health. 2021 Jul-Sep;65(3):218-225. doi: 10.4103/ijph.IJPH_1355_20.
A child receiving an acceptable diet is expected to reach the optimal anthropometric measures. More than 60% of dietary requirement has to be met through complimentary diet.
This aimed to estimate the prevalence of dietary diversity and to assess factors associated with it from caregivers' perceptions by quantitative and qualitative participatory techniques.
A mixed-method study comprising community-based cross-sectional quantitative and participatory rural appraisal qualitative components was conducted in 25 villages from the field practice area of medical institute in South India during 2017. Caregivers of eligible children 6-23 months from villages were interviewed regarding various food groups consumed in the last 24 h using a validated checklist. Association of demographic-, child, and mother-related characteristics with inappropriate dietary diversity was identified using multivariate negative log-binomial model.
Of the 603 eligible children, 75.1% had inappropriate dietary diversity. Although inappropriate dietary diversity prevailed across all categories, mothers with less than primary education (adjusted prevalence ratio [PR]: 1.26) children <1 year (adjusted PR: 1.29) and not on current breastfeeding (adjusted PR: 1.15) had significantly more inappropriate diversity. Restraining and motivating forces for dietary diversity were initially recorded from free listing and subjected to force-field analysis. Ignorance, lack of literacy, affordability issues, nuclear family pattern, and influence of junk foods are restraining forces.
Inappropriate dietary diversity among 6-23 months children in the rural block of Tamil Nadu, South India, is extensive (75%). Current Child development programs should focus to address these issues based on these identified contextual factors.
接受可接受饮食的儿童应达到最佳人体测量指标。超过 60%的饮食需求必须通过补充饮食来满足。
本研究旨在通过定量和定性参与式技术，从照顾者的角度估计饮食多样性的流行程度，并评估与其相关的因素。
这是一项混合方法研究，包括 2017 年在印度南部医学研究所实地工作区的 25 个村庄进行的基于社区的横断面定量和参与式农村评估定性部分。使用经过验证的清单，对来自村庄的 6-23 个月龄合格儿童的照顾者进行了关于过去 24 小时内食用的各种食物组的访谈。使用多变量负二项回归模型，确定人口统计学、儿童和母亲相关特征与不适当饮食多样性的关联。
在 603 名合格儿童中，有 75.1%的儿童饮食多样性不适当。尽管所有类别都存在不适当的饮食多样性，但受教育程度低于小学（调整后的患病率比 [PR]：1.26）、年龄不足 1 岁（调整后的 PR：1.29）和未进行当前母乳喂养（调整后的 PR：1.15）的母亲，其饮食多样性更不适当。从自由列表中最初记录了饮食多样性的制约因素和激励因素，并对其进行了力场分析。无知、缺乏读写能力、负担能力问题、核心家庭模式以及垃圾食品的影响是制约因素。
在印度南部泰米尔纳德邦农村地区，6-23 个月儿童中饮食多样性不适当的情况很普遍（75%）。当前的儿童发展计划应根据这些确定的背景因素，重点解决这些问题。
